VA Disability Benefits Questionnaires (DBQs)
Disability Benefits Questionnaires (DBQs) are standardized forms used by the Department of Veterans Affairs (VA) to evaluate the severity of a veteran’s service-connected conditions. These forms, completed by healthcare providers, offer detailed medical information that aids the VA in determining disability ratings and compensation levels.
Separation Health Assessment
Separation Health Assessment DBQ
Part A
Guidance For Separation Health Assessment DBQ Part A
Cardiovascular
Artery & Vein
Conditions
Heart
Conditions
Hypertension
Condition
Dental & Oral
Oral & Dental
Conditions
Dermatological
Scars
Skin Diseases
Endocrinological
Diabetes Mellitus
Endocrine Diseases
Thyroid & Parathyroid
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Ear, Nose, Throat
Ear
Vestibular & Infections
Loss of Sense of
Smell & or Taste
Sinusitis, Rhinitis, & Other Conditions
Gastrointestinal
Esophageal Disorders
Intestinal Conditions
Peritoneal Adhesions
Gallbladder
Liver Conditions
Rectum & Anus
Hernias
Pancreas
Stomach & Duodenum
Genitourinary
Kidney Conditions
Male Reproductive Organ Conditions
Urinary Tract Conditions
Gynecological
Breast
Gynecological Conditions
Hematologic & Lymphatic
Hematologic & Lymphatic Conditions
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Infectious Disease
HIV Related Illnesses
Infectious Diseases
Tuberculosis
Persian Gulf/ Afghanistan Infectious Diseases
Musculoskeletal
Amputations
Conditions
Bones & Other Skeletal
Conditions
Hand & Finger
Conditions
Muscle Injuries
Shoulder & Or Arm
Ankle
Conditions
Elbow & Forearm
Conditions
Hip & Thigh
Conditions
Neck (Cervical Spine)
Temporomandibular Disorders
Back
Thoracolumbar Spine
Foot Conditions Including Flatfoot
Knee & Lower Leg Conditions
Osteomyelitis
Wrist
Neurological
ALS (Lou Gehrig’s Disease)
Diabetic Peripheral Neuropathy
Multiple Sclerosis
Peripheral Nerves
Central Nervous System & Neuromuscular Diseases
Fibromyalgia
Narcolepsy
Seizure Disorders (Epilepsy)
Cranial Nerve Conditions
Headaches (including Migraines)
Parkinson’s Disease
Nutrition
Nutritional Deficiencies
Ophthalmological
Eye Conditions
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Psychological
Eating Disorders
Mental Disorders
PTSD Review
Respiratory
Respiratory Conditions
Sleep Apnea
Rheumatological
Arthritis
Chronic Fatigue Syndrome
Systemic Lupus Erythematosus & Autoimmune
Spina Bifida
Spina Bifida
Aid & Attendance